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tv   [untitled]    May 9, 2013 7:30am-8:01am PDT

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traffic. i drove around the block and found the chief taking back that person who still had the hospital band on and just released from the psych ward. the chief went in there in his sweats and he said this patient has to go back in. i don't like hearing that there is pressure on the system. i heard there has been some budget cuts. how many beds have you lost and what can we do encounter this. at the end of the day officers have to deal with this when they get back out on the street. >> i can't speak for everybody obviously, we have the same exact concerns. i don't have an answer for you about what we can do about it, i in terms of speaking the cuts that we have received, the hospital has 51
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beds. we had 57 until a couple months ago. they were due to nursing. it's a long story but nursing shortages and then a hiring freeze etc. so those beds may or may not be reinstated in the future, i'm not sure. i think a major issue is outpatient resources and where people can go to get care. there is often a wait list for clinics and not as much available as we would like. i think in terms of pressure on the system, i think it's a huge problem. it's a greater problem in terms of reimbursement and hospital functioning. i think the doctors and nurses struggle with not wanting to discharge. someone who is unsafe for
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discharge. they keep people without being able to get paid for care. i think it's a constant battle that no one feels comfortable with. everybody works hard to lead with their ethics and end of job. i think that hospitals in the budget crisis. >> i understand. are you seeing a trend where the increase in patients where they are coming from. i don't want you to violate hippa but do you see them coming from other states, are you seeing a trend at all? >> i have not noticed a specific trend from one particular state. we do get patients from out of county, out of state all the time and it not always clear to us how they got to san francisco, whether they were put on a bus oh are voluntarily were on their own accord. san francisco
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is a travel destination. people come to commit suicide off the golden gate bridge. i have not seen any specific trends. as far as the criminal justice goes we have seen people with criminal charges pending or interactions with the legal system and that's where sergeant krueger and i have collaborated very closely. there is not too many days that go by that we are not in contact. >> thank you, doctor. >> thank you for coming tonight, doctor. you said that california has a very patient centric approach. have you worked in other jurisdictions? >> i did my medical training in new york but i did my residency in manhattan and out here. my understanding is that in different states. i'm not an
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expert on here but different states have different laws in material of voluntary treatment and california is liberal in terms of what the bar is in getting somebody treated involuntarily and that has major pros and major conscious. -- cons. >> when you say liberal, it's more in the hands of that individual. >> exactly. it's more liberal here than say south carolina. >> commissioners, i just dropped off on your seats a chart and i also gave a copy to our commission secretary for our public record. the chart is mental health service redeductions that is supposed to take place in the next two years. this is related to outpatient mental health
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services and the list will probably get longer. these are for marginalized communities. this is for a 6.million reduction. i called mental health providers to get their feedback on what was happening with the system. they had said that if the commission wanted to take action and support and try to deal with this problem so there is less pressure on our police department that strong advocacy is not fighting for a reduction where they can ask for money back. as you can imagine there is not a lot of money towards mental health services so reducing it by $13 million is a problem. i appreciate the doctor here to provide us with the hospital. >> i also want to mention there
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is dr. david pine, he's a medical director and he can speak directly towards the cuts of the department of mental health. he was estimating 69 million over all for public health. if we have questions we can ask him about it. i don't know if the doctor wanted to talk more about it but as far as the code 5150, each county can enforce their own standards and set up which hospitals can. again california already being liberal then we have a county that the extremely liberal. that's a double whammy, so someone as far as imminent danger to their mental illness if they are saying they are going to do this and this and their intention is to go layout in the sidewalk, but we have to hear what they are saying, it has to be respected. we can't
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punish them for something that is potentially going to happen in the future. even though we have the concern of what's potentially going to happen. i just wanted to put that there. >> i just wanted to comment on the patient. if while they are able to articulate in the hospital even if they are still psychic, if they can articulate that plan and if everyone agrees it's a reasonable plan. we can't hold them. >> even though they are psychotic and with further questioning it fell apart what their plan was. >> i agree with you. i know it should be more than that and i
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think our standards are definitely higher than that, but if someone can clearly make a reasonable. you can still be psychotic and delusional and you can still have a conversation about how you are going to care for yourself. >> thank you very much. >> what's the relationship we've been asking the question between homelessness and the mentally challenged. i want to use that word illness. >> i would say intricate. >> okay. so there are many cases that are bound and homeless. >> 40 percent of patients are homeless. straight off the block. 40 percent of our population is homeless. that's huge. i have no idea what number. i haven't done the reverse study of what percentage of our study has homeless. i would expect it's
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quite high, at least 50 percent. probably in the 70-80 percent range. >> this wouldn't be for you. it's for the department. does the department track the no. of 5150 referrals? >> when we finish, amanda is going to have him go through it all. and i will be here to stand and answer questions. >> anymore questions from the doctor? >> thank you for what you do. >> counselor can you tell people about what your roll is in the san francisco police
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department. >> first of all thank you for letting me be here. i'm at a special units. on a smaller scale i will get calls from a patrol officer because they keep going to the address and doing the exact same thing 20 times and they see there is a potential mental health issue and often i will call mobile crisis besides, he's also a mobile crisis center. they can evaluate the individual. my main part of my job is collaborating with adult protective services, mobile crisis. from here i came from the hotel because the gentleman wants to have his shotgun back.
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he's going to let the va keep it. it's stuff like that, helping with weapons that people have firearms restrictions and if someone has a mental illness. you probably already know this. in case you know, the largest treating facility is jail for psychiatric treatment all over the country and here in san francisco. the jails, our population has declined and as that has happened over the last few years, it increased the number of people getting psychiatric treatment in custody and they needed more time having treatment. i also help with behavioral help court when they have folks that are trying to be in treatment and doing the best they can do and maybe something happens and they need to go back into custody and they call me and they can go back and rethink the plan. that's just some of
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the stuff an then the crisis training. >> thank you, sergeant. >> basically biggest role that the police department plays in this unit is we try to track the habitual offenders, we try to track the, i don't want to call them the frequent flyers but they are on our radar. we get calls from the district captains and say this person is on the radar and we try to step in to try to deescalate the situation so the people on patrol are not responding to the same address. we create files on these people and track them to make sure they get the help they need. we work with san francisco general hospital and the director there and she's the integral part of the communication between all the working and moving parts with the psych liaison unit. >> any other questions from the
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police department. >> i'm going to ask the question, how do you feel about your staffing? now the chief is going to give me a dirty look? >> almost everyone in the police department everyone needs staffing. we've prepared for it. yes. but yes, we can always use more staffing but we are prepared to lose ramsey in about 20 days and someone ready to fill his role. >> there is now mayor's office approved 45 sarjsergeant's position that we expect to depart in june. >> thank you for your work. >> mr. richard. i have tailored my comment and i have a lot of things to say. i'm going to
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narrow and leave it open to questions. the chief asked me in december of 2012 to get involved as a coordinator of the cit program and i think we have a good and close working relationship with the cit working group. i'm here i think in a representative capacity tonight and i want to acknowledge the work of lieutenant's teen and yen and kristin who has done a lot of the statistical work for us in reporting. let me say in the first four months in the year we've worked a lot on the curriculum and we have worked on golden gate park which is nice for officers. a nice venue to be in and the police department is working quite well. we have documents to
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pretty high rubrics standards and you have a one page chart up there that shows that we increase in our training this year from 118 members to 150 trained police officers. that's 28 percent increase over last year and from this first paemg you will see where they are distributed around the city and the rank of the various folks involved. we have two more trainings scheduled this year which will bring us up to over 200. right now we are at 12 percent of the patrol force. if you notice, one or two of these numbers don't seem to add up correctly, they are correct. some of the folks aren't a regular watch group. they are assigned to specialized units.
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that's the result of our training. we worked a lot in getting what dem communications data of what's going on out there and someone attached can explain that. the up shot is that in the first four months in the year we've handled 5021 calls which would follow 800 call for service, 801 where a person attempting suicide or 5150. i know there is data that we are not catching but there is other solid data. there are other places making 5150 attempt. there are a number of dats and folks that we are dealing with in these categories. if we go back in
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july of 2012. it stays consistent t the trends are a pretty solid one. the interesting thing is that i think the department is doing quite a good job on handling these calls for service over 5,000 calls and we've had six uses of force and the one that was an injury was a minor one, the rest was just physical control over 5,000 calls. in terms of cit and what we have done, we have i think coalesce is a working group that dealt with community advocates and the service providers and the police department and we have some narratives. we have applied for a $250,000 grant.
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what we would like to do is build out some components of the programs particularly the consumer panel and be able to offer stipends for that and rent equipment for presentations and we have strategized and agreed on an agenda. that makes me very happy. 12 people in a room, i think we have a lot of agreement about where we are going with this. our work going forward, the agenda includes developing an organizational identity for officers and inspiring leadership in that group. we are going to come up with an 8 hour refresher course and we are going to insist and i think this goes right to your point about services available. we are going to work with the service providers and do a gap
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analysis of where services are available and where they are not. we are going to connect the service with the officers and what they do day-to-day and some rather -- some stuff we want to get together with the university. and reaching out to folks that have participated in thing group before. that's the state of the cit program. i'm recently back from memphis where we are 28 across the country that identify with the cit program that started there. i can tell you things we are doing here are consistent with their stuff and better in some ways and i think we are going to have a program that fits san
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francisco's needs. >> if i can highlight a cit, an 8-year-old girl was beyond the control of her mother. the officers were engaged with her in conversation and later they were able to get the girl to give up the knife with police stickers and taken into child protective services. >> thank you, again, for the members of the public this was a project for commissioner chan and myself. what officers are dying is we are making them street level psycho therapist and giving them the training where they can intervene where they can talk to these folks without going into immediately with the use of force. i want to thank the chief for having
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the courage and want to thank the officers who are willing to do this. i know the lieutenant that is cit buttons they wear for crisis and intervening training and it a different ways of policing and we need to per effect the program and we are getting there and thank you for agreeing to take over and getting through this process. >> i would like to acknowledge the the department of management. when i started this, i was told with all the constraints that make it possible that take an especially trained officer that are fully integrated with the uniform patrol force and somehow get to particular calls and but i can tell you over the months that we are working with them there are real solutions and we are going to be able to do that. that's one of our goals and that is the quarter to finalize that so we get a call that is determined to be cit appropriate and send to
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dispatch to a cit trained unit if one is available and for us to pull the data because we identify which of the calls were assigned to a cit unit. it's a pleasure working with us. we have a complicated world and they are bending things to make it work. >> commissioner loftus was first. >> no, i'm just having been through a number of community meetings and hearing folks that had concerns about people with mental health crisis. i have to commend chief where in a month you took the helm and dealing with the changes in dealing with mental health patients. oftentimes that requires leadership and i saw across the
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city the gratitude to you for that and it's a matter of making sure officers are trained and continually unpredictable and that's something that we have to keep doing and keeping them safe as well as having them have the best information at the time to make the best determination. i just want to commend you for this work. it's going to continue to develop. it good to see. >> this you for your presentation and hard work . when we first start there were a lot of people and as we were growing this, i think the providers are seeing more and more departments and now you are seeing an entire team of people to make this come true. it really wonderful. i wanted to connect the cit pieces that we had prior to this situation. what we are doing now is having
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the training, setting up the system with d e m and creating an approach. that's the building blocks of the cit. the long-term goal of the cit is strengthen the department and to basically not be pitted against each other when it comes to for example budgeting because all the budgeting issues comes to everybody when it comes to mental health and for the sf p.d. to get where the systems are and the police department needs more funding and for the department to say that we know these and these type of out patients need more funding and that is a long term goal and longer than that is a one stop shop, a place where officers can hand off people and that can refer people to the right services. so there are a bigger loftier goals and
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the team that commander has assembled we are going get there. that's exciting. i want to ask if officer pine is going to speak here. i'm just curious. >> thank you for being here tonight. i want to mention one last authentic is the mental health association mentioned to me that they are working on a start of this idea on in between special psych services to mental health services and looking into a cries center which is going to be modeled by santa cruz where people can just rest and be in a neighborhood type location where you have the different
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ranges of serves. something they are working on and of course finding the funding is the hard part. that's it. thanks very much. >> one final thing, is there any rms, recommendation, i don't want to give the officers anymore work but when they find people who are dirty and they are not providing to themselves. i don't know the to add to 9-1-1 calls. what do you suggest we do. in the city of saint frances it's in humane when we see people lying in guters. >> that's a 9-1-1 call. >> we can tell you that we are
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just back from memphis and they have a single point of entry where everybody goes of everybody who has a mental illness or needs respite care or needs detox. i was there for a couple hours and the officers were in and out in 15 minutes. it's an ngo. i can tell you, it was really a one stop in and out and so someone that needed to maybe rest for a day, there would be a bed available for them there. they can stay up for three days. a very complicated environment and 5 different levels of care availability in one facility and state hospitals nearby. although they ultimately told us that somewhere around 60 percent of the people that go to the state hospital four blocks way are not accepted
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there and released back out but the initial intake offered a lot of services for folks. >> anything further for the commander? thank you very much. >> i apologize for the length of this but our next presentation is commissioner loftus will be on the state of sexual assault dna testing and captain dan prea.
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>> thank you. i asked for a presentation from the department on whether or not we are testing a kit whether there is a backlog that exist. i know for a time there was a backlog in the crime lab in 2010 and i asked for an up date from the department and where we are in terms of resources and any improvement we've seen and where work needs to be done so i look forward to hearing about the department about where we are at. >> good evening, president mazzucco, vice-president marshall. i'm the community for
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the services division for the police department. my presentation is on the sexual assault crime lab and the improvement that we have made under the chief's administration. the the crime lab is accredited by the national accrediting body that provides the best practices and inspection for crime labs so everybody that is operating in the same manner and it's required for lab to conduct testing. our crime lab currently uses four scientific disciplines for analyzing evidence. first it's